Jack W Ellertson in Chambersburg - Physical Therapist
Jack W Ellertson - NPI 1669418489
Jack W Ellertson is a Physical Therapist in Chambersburg, Pennsylvania. Jack W Ellertson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jack W Ellertson is 1669418489. The last update date is 2012-07-09.
Jack W Ellertson's current location address is 1035 Wayne Ave, Chambersburg, Pennsylvania. You can contact this provider via phone number 7172646211 and fax number 7172649816. The mailing address for Jack W Ellertson is 1035 Wayne Ave, Chambersburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack W Ellertson |
|---|---|
| Address | 1035 Wayne Ave, Chambersburg, Pennsylvania |
| Phone Number | 7172646211 |
| Fax Number | 7172649816 |
| Sole Proprietor | N |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1669418489 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2012-07-09 |
Provider Mailing Address Detail
| Address | 1035 Wayne Ave |
|---|---|
| City | Chambersburg |
| State | Pennsylvania (PA) |
| Post Code | 172012986 |
| Phone Number | 7172646211 |
| Fax Number | 7172649816 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PTO16235 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ELI1783757 | PA | BLUE SHIELD | |
| ELI1783757 | PW | FEDERAL BLUE SHIELD | |
| 50056652 | PA | CROSS |
Post Comment/ Review Below
What is the Jack W Ellertson's unique identification number?
The Jack W Ellertson has been assigned the NPI (National Provider Identifier) Number 1669418489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jack W Ellertson is geographically located?
The Jack W Ellertson is physically situated at the following location: 1035 Wayne Ave, Chambersburg, PA, 172012986.
What is the area of specialization for Jack W Ellertson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack W Ellertson is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Jack W Ellertson receive its 1669418489 assignment from the Centers for Medicare & Medicaid Services?
The Jack W Ellertson was assigned its 1669418489 by the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the information regarding Jack W Ellertson most recently updated?
The details pertaining to the Jack W Ellertson, including its address, specialty, and other relevant information, were last refreshed on 2012-07-09.
NPI Number: 1215930425
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